result advice please

[DitzyGrandma]

hello you lovely people

I am currently recovering from Covid and would like some advice regarding my latest blood test results from Monitor my Health. I have updated my bio with my journey thus far. I am currently on a pre-diabetes programme through my GP and because of a mix up at Dr’s (they did thyroid function test at same time as HbA1c - l had taken my levo) so l did a private blood test. I think l need an increase in levo but they are being set in the ranges and won’t increase, however are quite willing to prescribe statins which l refused. Can someone please help me make sense of my results. My result at GP was TSH 3.11 [0.35-4.94] and t4 11.1[9~19]

Private test done per protocol on a Monday and results are:

TSH 5.1 [0.27-4.2]

FT4 16.5 [12~22]

FT3 5.2 [3.1-6.8]

vit d 109 nmol (note to stop taking supplements)

Folate 12 ug/L - normal

Ferritin 186 ug/L - normal

Active b12 103 pmol/L - normal

I have reduced my Better you D spray to one: l also take 1 igennus b complex tablet and 1 igennus triple magnesium complex. Thanks ☺️

[Hidden]

Oh no! The dreaded unexpected thyroid test! I’ve had three of those done lately. I now just time my NDT to fit in with my blood tests - whether or not I’m expecting a thyroid test

Your TSH suggests that you’re undermedicated although it’s in range How do you feel?

[DitzyGrandma in reply to Hidden]

I am tired most of the time even before my bout of Covid, not sleeping well. Jobs l did at work l struggle with - work in retail so it can be heavy just got no muscle power left. I thought l would have felt much better by now. Only good thing is a can walk a lot further without legs feeling like lead weights 🙂

[SlowDragon Administrator]

Are you on levothyroxine or trying to get diagnosed as hypothyroid

Your TSH is far too high if on levothyroxine, and need 25mcg dose increase and retest in another 8 weeks

How much levothyroxine are you taking

Or

If trying to get diagnosed

You need 2 tests with TSH over 5

Get retested in 6-8 weeks

You also need thyroid antibodies tested for autoimmune thyroid disease

[DitzyGrandma in reply to SlowDragon]

Thanks for your reply SlowDragon,

l have updated my bio with my journey so far with my results of tests.

I was diagnosed last October after having 2 blood tests one at 33 TSH and another at above range and a high TPO result, I was initially started on 25 mcg, after a mix up in December was retested and levo increased to 50 mcg in Feb, after l had already tried for an increase from advice on this forum.

I have done all testing as advised and taken on board all supplement advice.

On My last telephone appointment with medical practice they wouldn’t consider increase in levo as my result was in range, (at the time l had HbC1a blood test they did thyroid at same time - it was 11 am and l had taken my levo),however they were keen to prescribe statins which l refused. I will remember from now on regardless of type of blood test, to book first thing and not take my levo just in case they drop it in again. I am seriously considering changing practice as the one l am registered with is on 3 sites and you get little chance of seeing same GP.

[SlowDragon Administrator in reply to DitzyGrandma]

levo increased to 50 mcg in Feb,

So now ready to increase levothyroxine to 75mcg daily

Retest again in another 8-12 weeks

Ideally always get same brand Levo at each prescription

My result at GP was TSH 3.11 [0.35-4.94]

Free T4 (fT4) 11.1 pmol/L (9 - 19) 

Ft4 only 21.0% through range

Most people when on adequate dose Levo Ft4 will be at least 60% through range

[Hidden in reply to DitzyGrandma]

I will remember from now on regardless of type of blood test, to book first thing and not take my levo just in case they drop it in again

Very wise. Problem is that it’s part of standard screening in A&E or GP urgent appt. My last experience of unexpected thyroid test was a few weeks ago when I had an urgent appt via triage with duty doctor because of acute abdomen and they tested for what seemed like everything.